Visceral artery aneurysms are an uncommon form of vascular disease tha
t have a significant potential for rupture or erosion into an adjacent
viscera, resulting in life-threatening hemorrhage. During the last de
cade, hepatic artery aneurysms have become the most commonly reported
visceral artery aneurysm. This change likely reflects the increased us
e of percutaneous diagnostic and therapeutic biliary procedures, as we
ll as increased use of diagnostic computed tomography after blunt abdo
minal trauma. A second significant development is the increased use of
percutaneous catheter-based therapy in the management of visceral art
ery aneurysms. Nonetheless, a continued aggressive approach to the dia
gnosis and management of those unusual aneurysms remains warranted.